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19030058 Receipt
CITY OF CARMEL ITEM 1 OF 1 PERMIT RECEIPT Sec: Twp:18 Rng:03 Sub; B1k:20 Lot: PARCEL ID ........: 1709200000018005 DATE ISSUED.......: 08/06/2019 RECEIPT 4.........: BCOOD018159 REFERENCE ID # ... 19030058 SITE ADDRESS .....: 13919 SHELBORNE RD SUBDIVISION ....... CITY ............... WESTFIELD IMPACT AREA ....... OPERATOR: plux COPY # : 1 OWNER .............. HENTZ, PETER C & MARGARET B ADDRESS ..........: 13919SHELBOURNE RD CITY/STATE/ZIP ...: CARMEL, IN 46074 RECEIVED FROM ....: *CASE DESIGN/REMODEL CONTRACTOR .......: *CASE DESIGN/REMODELING LIC # CASEDES COMPANY ..........: *CASE DESIGN/REMODELING ADDRESS ..........: 99 E CARMEL DR., STE 100 CITY/STATE/ZIP ...: CARMEL, IN 46032 TELEPHONE ........: (317) 846-2600 FEE ID UNIT QUANTITY AMOUNT PD -TO -DT THIS REC NEW SAL ---------- ------------- IRESOTHER PER ---------- INSPECTIO 1.00 ---------- 72.00 --- - 0.00 ---------- 72.00 ---------- 0.00 TOTAL PERMIT ---------- 72.00 ---------- 0.00 ---------- 72.00 ---------- 0.00 METHOD OF PAYMENT ----------------- CHECK TOTAL RECEIPT : AMOUNT --------------- 72.00 --------------- 72.00 REFERENCE NUMBER ------------------ 24032